NHS England said it would mark 'the first time in the NHS’ 70-year history when there will be a new guarantee that investment in primary, community and mental health care will grow faster than the growing overall NHS budget'.

‘This will fund a £4.5bn new service model for the 21st century across England, where health bodies come together to provide better, joined up care in partnership with local government,' it said.

Provide genetic testing for a quarter of people with dangerously high inherited cholesterol, reaching around 30,000 people;

Give mental health help to 345,000 more children and young people through the expansion of community based services, including in schools;

Use cutting edge scans and technology, including the potential use of artificial intelligence, to help provide the best stroke care in Europe with over 100,000 more people each year accessing new, better services;

Invest in earlier detection and better treatment of respiratory conditions to prevent 80,000 hospital admissions and smart inhalers will be piloted so patients can easily monitor their condition, regardless of where they are;

Ensure every hospital with a major A&E department has ‘same day emergency care’ in place so that patients can be treated and discharged with the right package of support, without needing an overnight stay.

NHS England chief executive Simon Stevens said the plan 'keeps all that’s good about our health service and its place in our national life. It tackles head-on the pressures our staff face. And it sets a practical, costed, phased route map for the NHS’s priorities for care quality and outcomes improvement for the decade ahead'.

BMA GP committee chair Dr Richard Vautrey said: 'While the Government has all but given up on reaching its earlier target of reaching 5,000 new GPs by 2020, this renewed commitment from NHS England to increase the number of family doctors treating patients in their communities is an important one – and is an area that must continue to be a priority.'

BMA chair Dr Chaand Nagpaul added: 'The BMA has for a long time been calling for increased investment in general practice and community care so the announcement of £4.5bn extra funding will be a welcome boost for GP services though we await further detail on how this will actually be delivered.'

But Londonwide LMCs chief executive Dr Michelle Drage warned that the investment needs to go 'directly' into GP frontline care, instead of being caught up in bureaucracy.

She said: 'The Government’s decision to prioritise investment in general practice is an important step to easing the pressures created by decades of under-funding. If the NHS is to be sustainable it needs GPs and practice teams to be properly resourced to do what they do best: keeping people healthy in their communities, so fewer of them need hospital care.

'London’s GPs must now see investment going directly into frontline care, rather than having it split up into different funds with bureaucratic application processes, as has too often been the case in the past.'

Firstly ‘pigs might fly’ , secondly this government may not be around by the time that this money apparently maybe available. Of course the £4.5bn will be gratefully accepted by the 10 (or is it less) GPs left in the UK to run primary care in the NHS.

So let’s go through these proposals....
1- “digital GP appts for all” - where are these appointments? On Mars?
2- increased cholesterol testing- guess who will be arranging and following this up?
3- children’s mental health targeted in schools.....who will say “see GP to refer to CAMHS”...who will reject referral
4- stroke scans - probably to be arranged by GPs
5- smart inhalers etc - ditto
6- Rapid discharge from A&E.....dumped on to GP when they inevitably need re-admitting.

The extra money will be gobbled up by NHSE to be piddled away on the vanity projects of 30000plus patient super practices.
Smaller practices will simply see a lot more work done by fewer and fewer GPs, who will finally yield when indemnity reform is fudged and superannuation rates go through the roof.

Words only. ACTIONS so far are that NHSE are obstructing Primary care FOI requests seeking to learn about Community Health trust service specs, KPIs and contract details and even the original NHS tender invitation. (Public documents by NHS's own tender rules)